Procedures

Colostomy care Teaching 2195

Ostomy care It is not necessary to use soap to clean around your stoma. But if you prefer to use soap, use a very mild soap. Avoid using soaps and cleansers with oils, per - fumes, or deodorants since these can sometimes cause skin problems or keep your skin barrier from sticking.

Tracheostomy Teaching 2193

Tracheostomy care Instructed patient caregiver It is important to routinely clean the skin around the opening of the tracheostomy (stoma). This
 will help prevent skin irritation and the build-up of secretions.

Jackson Pratt care Teaching 2050

SN instructed patient about Jackson Pratt care. The JP drain removes fluids by creating suction in the tube. The bulb is squeezed
 flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid. SN instructed patient use soap and water or saline ( saltwater ) solution to clean your JP drain site. Dip a cotton swab or 
gauze pad in the solution and gently clean your skin.

VAC Teaching 1838

Instructed caregiver when should I call healthcare provider? Contact your healthcare provider or physician immediately:.If you have difficulty breathing and it is not relieved by your usual method of clearing secretions. When secretions become thick, if crusting occurs or mucus plugs are present, Your physician may recommend increasing your fluids or using cool mist humidification,If you have any other problems or concerns.

PICC Line Teaching 1841

Instructed patient when skin redness where the tape or dressing was the nurse may need to change the dressing size or the type of tape or dressing used. Call home care nurse.

Gallbladder surgery Teaching 1846

Eat smaller, more frequent meals. This may ensure a better mix with available bile. Include small amounts of lean protein, such as poultry, fish and nonfat dairy, at every meal, along with vegetables, fruit and whole grains.

Gallbladder surgery Teaching 1848

Instructed patient gradually increase the fiber in your diet. This can help normalize bowel movements by reducing incidents of diarrhea or constipation. However, it can also make gas and cramping worse. The best approach is to slowly increase the amount of fiber in your diet over a period of weeks.

Mastectomy Teaching 1850

Patient with bilateral mastectomy with strips with moderate serosanguineous drainage, and two Jackson-pratt skilled nurse performed JP Drain Care , the JP drain removes fluids by creating suction in the tube. JP#1 drain 30 ml and JP#2 drain 25 Ml serosanguineous drainage .The bulb is squeezed flat and connected to the tube that sticks out of your body. The bulb expands as it fills with fluid.

Tracheostomy Teaching 1851

Instructed patient sterile technique includes: Hand washing, Wearing sterile gloves. Using a new trach tube, inner cannula, and trach tie. Using sterile water (new bottle or bag every 24 hours). Discarding suction catheters after each use.

Tracheostomy Teaching 1852

Instructed patient Clean technique includes: Hand washing, Using gloves is optional. Re-using a trach tube and/or inner cannula that has been properly cleaned, Using prepared sterile water and normal saline. Re-using the same trach ties if they are properly cleaned. Re-using suction catheters if they are properly cleaned(up to 8 hrs or 3/per day)